CN-550000-ASR04-W0020000.pdf

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

RAILROAD CHANGE ORDER NO. 2

725-090-04B

RAIL

OGC – 1/21

Financial Project Number Road Name or Number County Name Parcel & R/W

Number

FAP

Number

447431-1-57-01 SR 700 (US 98) Polk 16040-2101 N/A

A. 1. The CSX Transportation, Inc. Company is hereby authorized to observe the following changes in the plans and or specifications to the subject Railroad Agreement, and to perform such work accordingly, further described as:

Additional funding for crossing reconstruction, engineering and flagging coverage for roadway work within CSX right of way at crossing 627561Y RRMP SX 847.49. This change order includes any other work deemed necessary to complete the project.

2. Exhibit A, Exhibit B, and Exhibit C are attached to the Railroad Change Order and made part of the Original

Railroad Agreement.

3. The items of work covered by this Change Order are referenced to an Master Agreement of record dated

08/07/1972 and no supplemental Agreement is required.

Master Type: Crossing Surface Signals Preliminary Engineering

B. 1. The Railroad Relocation Work is to conform to that shown by the railroad adjustment plans as:

a. X ATTACHED

b. INCLUDED IN THE HIGHWAY CONTRACT PLANS

2. Reimbursement for the cost of this Railroad Work is to be in accord with the provisions set forth in Administrative Rule Chapter 14-57 as:

a. NONREIMBURSABLE – Section .011(2)

b. X REIMBURSABLE – Section .011(2)

(1) X Force Account Method

(2) Lump Sum Method

(3) Third Party Contract Method

C. ESTIMATED COST OF WORK DUE TO THIS CHANGE ORDER

ITEM

NO.

ITEM UNIT UNIT

PRICE

WORK ELIMINATED (-)

QTY AMOUNT

ADDITIONAL WORK (+)

QTY AMOUNT

Crossing reconstruction, 50,000.00 300,000.00 engineering, and flagging

Sub-Totals ………………………………………………………………… $50,000.00 $300,000.00

Net Cost of Construction Changes, this order ………………………... $300,000.00 $300,000.00

Cost of Construction Changes, previously ordered ………………….. $50,000.00 $50,000.00

Net Total Cost of Construction Changes, to date…………………………………………….. $350,000.00

Contract Amount ………………………………………………………………………………… $

Estimated Cost of Work Authorized, to date………………………………………………….. $350,000.00

Examined as to provisions and participating items of cost:

Recommended: Approved: Approved:

Date

Division Administrator

N/A

Federal Highway Administration

XWendy Sands District Rail Administrator

Paul Simmons Modal Development Administrator

DocuSign Envelope ID: 5504541B-9D75-4273-A9E4-93F6337C46A0

03/20/2023 | 4:45 PM EDT 03/20/2023 | 4:52 PM EDT

EXHIBIT A

The Company shall:

1. utilize the U.S. Department of Homeland Security’s E-Verify system to verify the employment eligibility of all new employees hired by the Company during the term of the contract; and

2. include an express requirement in any subcontract that subcontractors performing work or providing services pursuant to the state contract utilize the U.S. Department of Homeland Security’s E-Verify system to verify the employment eligibility of all new employees hired by the subcontractor during the contract term.

EXHIBIT B

The Company shall:

1. adhere to all Buy America requirements (23 CFR 635.410) to ensure that all manufacturing processes of steel and iron occur in the United States; and

2. ensure that prefabricated items that contain steel must also comply with Buy America; and

3. provide Buy America certifications that include correct language, project information, and the material’s delivery date.

EXHIBIT C

The Company understands:

1. that while FHWA1273 does not apply to force account work performed by rail companies, FHWA-assistance is subject to Title VI (42 U.S.C. § 2000d et seq); and

2. requires appropriate assurances by providing an executed Title VI / Nondiscrimination Assurance, including Appendices A and E.

FLORIDA DEPARTMENT OF TRANSPORTATION

FUNDS APPROVAL

ASR04

3/20/2023

CONTRACT INFORMATION

FUNDS APPROVAL INFORMATION

FUNDS APPROVED/REVIEWED FOR ROBIN M. NAITOVE, CPA, COMPTROLLER ON 3/20/2023

Action: Task Work Order

Reviewed or Approved: APPROVED

Organization Code: 55014010106

Expansion Option: A5

Object Code: 563000

Amount: $300,000.00

Financial Project: 44743115701

Work Activity (FCT): 127

CFDA:

Fiscal Year: 2023

Budget Entity: 55150200

Category/Category Year: 088716/23

Amendment ID: W002

Sequence: 00

User Assigned ID: CO#2

Enc Line (6s)/Status: 0003/04

Total Amount: $300,000.00

Contract: ASR04

Contract Type: AC - RR CROSSING-PE/INSTAL (RR-XING/PE)

Vendor Name: CSX TRANSPORTATION, INC.

Vendor ID: F546000720022

Beginning Date of This Agreement: 12/15/2021

Ending Date of This Agreement: 12/31/2050

Contract Total/Budgetary Ceiling:

Method of Procurement: R - RAILROAD/UTILITIES AGREEMENT

Description: PE for crossing reconstruction and roadway resurfacing

Page1 of 1

To: Jennifer.Gaona@dot.state.fl.us

ACCT. CODE : 709 - FL2860 Form Revision

10/04/21

BUY AMERICA

ESTIMATE SUBJECT TO REVISION AFTER: 2/8/2024 DOT NO.: 627561Y

CITY: COUNTY: Polk STATE: FL

ZONE: Florida SUB-DIV: Auburndale MILE POST: SX 847.49

AGENCY PROJECT NUMBER: FDOT 447431-1-57-01 (ASR04)

PRELIMINARY ENGINEERING:

212 Contracted & Administrative Engineering Services 22,000$

Subtotal 22,000$

CONSTRUCTION ENGINEERING/INSPECTION:

212 Contracted & Administrative Engineering Services 22,333$

Subtotal 22,333$

FLAGGING SERVICE: (Contract Labor)

70 Labor (Conductor-Flagman) 0 Days @ 350.00$ -$

50 Labor (Foreman/Inspector) 15 Days @ 504.00$ 7,560$

70 Additive 137.00% (Transportation Department) -$

50 Additive 160.00% (Engineering Department) 12,096$

Subtotal 19,656$

SIGNAL & COMMUNICATIONS WORK: 5,000$

TRACK WORK: 187,553$

PROJECT SUBTOTAL: 256,542$

900 CONTINGENCIES: 10.00% 25,654$

PROJECT TOTAL: ***************************************************** 282,197$

CURRENT AUTHORIZED BUDGET: ***************************************************** 50,000$

TOTAL SUPPLEMENT REQUESTED: ***************************************************** 232,197$

DIVISION OF COST:

Agency 100.00% 232,197$

Railroad 0.00% -$

NOTE: Estimate is based on FULL CROSSING CLOSURE during work by Railroad Forces.

Office of Chief Engineer Public Projects--Jacksonville, Florida

Benesch - CDS Approved by: KSW CSXT Public Project Group

DATE: 02/08/23 REVISED: 01/00/00 DATE: 02/15/23

Frostproof

DESCRIPTION: US-98 (SR 700): Upgrade crossing surface from rubber and asphalt to concrete panels to accommodate roadway resurfacing done by FDOT. Estimate includes preliminary engineering, construction engineering & inspection, and flagging services.

Estimated prepared by:

This estimate has been prepared based on site conditions, anticipated work duration periods, material prices, labor rates, manpower and resource availability, and other factors known as of the date prepared. The actual cost for CSXT work may differ based upon the agency's requirements, their contractor's work procedures, and/or other conditions that become apparent once construction commences or during the progress of the work

ACCT. CODE : 709 - FL2860 Form Revision

Pub EB - FL EB3 (FL) 10/04/21

BUY AMERICA

ESTIMATE SUBJECT TO REVISION AFTER: 2/8/2024 DOT NO.: 627561Y

CITY: COUNTY: Polk STATE: FL

ZONE: Florida SUB-DIV: Auburndale MILEPOST: SX 847.49

DRAWING NO.: __ DRAWING DATE: __

AGENCY PROJECT NUMBER: FDOT 447431-1-57-01 (ASR04)

PRELIMINARY ENGINEERING:

Contracted & Administrative Engineering Services 22,000$

Subtotal 22,000$

CONSTRUCTION ENGINEERING/INSPECTION:

Contracted & Administrative Engineering Services 22,333$

Subtotal 22,333$

FLAGGING SERVICE: (Contract Labor)

Labor (Conductor-Flagman) 0 Days @ 350.00$ -$

Labor (Foreman/Inspector) 15 Days @ 504.00$ 7,560$

Additive 137.00% (Transportation Department) -$

Additive 160.00% (Engineering Department) 12,096$

Subtotal 19,656$

COMMUNICATIONS WORK:

Temporary (Details Attached) -$

Permanent (Details Attached) -$

Subtotal -$

TRACK: LABOR

Remove Existing Crossing 50 MAN-HRS 42.00$ 2,100$

Install Cross Ties 50 MAN-HRS 42.00$ 2,100$

Install Rail, including IJ and transition rail 150 MAN-HRS 42.00$ 6,300$

Install OTM 50 MAN-HRS 42.00$ 2,100$

Flash-Butt Welding 40 MAN-HRS 42.00$ 1,680$

Install Sub-Drains 10 MAN-HRS 42.00$ 420$

Install Ballast 40 MAN-HRS 42.00$ 1,680$

Line and Surface 40 MAN-HRS 42.00$ 1,680$

Install Crossing Materials (Concrete Panels) 100 MAN-HRS 42.00$ 4,200$

Install Joint Bars 100 MAN-HRS 42.00$ 4,200$

Mobilization - Weld Team 40 MAN-HRS 42.00$ 1,680$

Mobilization - Surface Team 320 MAN-HRS 42.00$ 13,440$

Clean-Up 50 MAN-HRS 42.00$ 2,100$

Additive 160.00% 69,888$

Subtotal 113,568$

TRACK: MATERIAL BUY AMERICA

Cross-tie - Borate (bundles of 16) 80 EA 56.00$ 4,480$

Crossties, 10' Length (bundles of 12) 60 EA 55.00$ 3,300$

Pandrol plates (136RE / 132RE) 280 EA 34.00$ 9,520$

Rail, 136RE, New 360 LF 21.00$ 7,560$

Misc. OTM 1 LOT 2,500.00$ 2,500$

Sub-Drains 120 LF 6.00$ 720$

Frostproof

DESCRIPTION: US-98 (SR 700): Upgrade crossing surface from rubber and asphalt to concrete panels to accommodate roadway resurfacing done by FDOT. Estimate includes preliminary engineering, construction engineering & inspection, and flagging services.

Ballast - Trucked in 220 NT 45.00$ 9,900$

Comp Welds (136RE/132RE) 280.8020515.1 2 EA 70.00$ 140$

Flash-Butt Welds 10 EA 100.00$ 1,000$

Transition Rail (136RE/132RE) 013.1361320.1 2 EA 730.00$ 1,460$

Joint Bars (136RE/132RE) 013.3906040.1 16 EA 65.00$ 1,040$

IJs 136RE 013.5000215.1 2 EA 1,050.00$ 2,100$

Concrete Full Width 56.875 TF 250.00$ 14,219$

Sales Tax on Material 7.00% 4,056$

Material Handling 15.00% 8,691$

Subtotal 70,685$

CONTRACT:

Asphalt Paving (In Place) 0 NT 165.00$ -$

Disposal of Waste Materials 220 TF 15.00$ 3,300$

Maintenance of Traffic 0 DAY 350.00$ -$

Subtotal 3,300$

EQUIPMENT RENTAL: CSX vehicle and equipment rental included in overhead percentage -$

Subtotal Use for extraordinary rental or unique Service Contract -$

WORK TRAIN: 0 DAY 2,100.00$ -$

Subtotal -$

SALVAGE:

Rail 0 NT 65.00$ -$

OTM 0 NT 75.00$ -$

Subtotal -$

SIGNAL WORK: BUY AMERICA

Material - Field & Consumables -$

Material - Sales Tax -$

Material - Shop -$

Construction Labor (Signal Maintainer) 5,000$

Shop Labor -$

RR Engineering,Preliminary -$

RR Engineering,Construction -$

Additives to Construction Labor -$

Additives to Shop Labor -$

Additives to Engineering -$

Equipment Expense -$

Waste Management -$

Contract Engineering -$

Freight -$

AC Power Service -$

Salvage -$

Other -$

Subtotal 5,000$

PROJECT SUBTOTAL: 256,542$

CONTINGENCIES: 10.00% 25,654$

PROJECT TOTAL: ***************************************************** 282,197$

CURRENT AUTHORIZED BUDGET: ***************************************************** 50,000$

TOTAL SUPPLEMENT REQUESTED: ***************************************************** 232,197$

DIVISION OF COST:

Agency 100.00% 232,197$

Railroad 0.00% -$

NOTE: Estimate is based on FULL CROSSING CLOSURE during work by Railroad Forces.

October 7, 2021 - Office of Director - CSXT Public Projects, Jacksonville, Florida

Estimated prepared by: Benesch - CDS Approved by: KSW Project Manager - Public Projects

DATE: 02/08/23 REVISED: DATE: 02/15/23

This estimate has been prepared based on site conditions, anticipated work duration periods, material prices, labor rates, manpower and resource availability, and other factors known as of the date prepared. The actual cost for CSXT work may differ based upon the agency's requirements, their contractor's work procedures, and/or other conditions that become apparent once construction commences or during the progress of the work

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Crossing Number: 627561Y - US-98

Railroad Operating Company: CSX TRANSPORTATION, INC.

Local Street Name: US-98

Crossing Status: OPEN--TRACK ACTIVE

Last Updated by Khaleda Hatim on 9/20/2022 3:58:13 PM

Safety Index Rank: 544

Railroad Responsible FRA Field

RR Milepost: SX | 847.49 |

Crossing General 2 log entries available. View Log

Roadway Location

District 1 County (I.3) Polk City (I.4) FROSTPROOF

IN CITY

NEAR CITY

State Route Number (I.6) SR-700

County Route Number (I.6)

U.S. Route Number (I.6) US-98

Local Street Name (I.5) US-98

Railroad Local Street Name

Block Number (I.5) 690

FDOT Bridge Number

Latitude (I.27) 27.7336573

Longitude (I.28) -81.5820456 View location in Google Maps

Latitude/Longitude Source

(I.29) ACTUAL ESTIMATED

Is Crossing ID Posted?

YES NO

Roadway ID Number 16 / 04000 / 0

Linear Referencing System (LRS Route ID) (V.5)

Highway Milepoint 14.504

LRS Milepost (V.6)

Railway ID Number 16 / 92900 / 4

FDOT GIS RR Milepoint 847.221

Parcel Number

Railroad Ownership

Railroad Operating Company CSX TRANSPORTATION, INC.

Parent Company CSX TRANSPORTATION, INC.

Crossing Owner

Railroad Contact Phone Number 904-359-3100

Railroad Emergency Contact Number 800-232-0144

Roadway Ownership

Crossing Status

OPEN--TRACK ACTIVE

OPEN--TRACK INACTIVE

CLOSED--TRACK REMOVED

CLOSED--ROADWAY REMOVED

Crossing Type

(I.17) PUBLIC PRIVATE

Public Access Allowed? (I.20) YES NO UNKNOWN

Crossing Purpose (I.18)

Highway Vehicle

Crossing Position

vs. Highway (I.19) AT GRADE RR UNDER RR OVER

Maintenance Responsibility STATE COUNTY CITY PRIVATE

State Annual Maintenance Percentage

Highway System (V.1)

Functional Classification of Road at Crossing (V.2)

Is the crossing on the State Highway System? (V.3)

YES NO

Regularly used by Hazmat Vehicles? NO YES

Regular Emergency Services Route?

(V.10)

NO YES

Is the crossing on the Strategic Intermodal System

(SIS)?

NO YES

Roadway Agency Contact Phone Number (I.35)

850-414-4907

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Map data ©2023 200 ft

27°44'01.2"N 81°34'55.4"W 27.733657, -81.582046

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104 Co Rd 630, Frostproof, FL 33843

27°44'01.2"N 81°34'55.4"W

Crossing 627561Y, FL 2860, FPID 447431-1-57-01 (ASR04)